Heart Attack Entrées and Side Orders of Stroke. The Salt in Restaurant Meals is Sabotaging Your Health

Transcription

1 Heart Attack Entrées and Side Orders of Stroke The Salt in Restaurant Meals is Sabotaging Your Health

2 Table of Contents Ten of the Saltiest Adult Meals in America..page i Ten of the Saltiest Kids Meals in America.page ii Introduction.page iii Restaurant Meals Data Charts and Graphs..page 1 Arby s.page 1 Burger King page 3 Chick-fil-A..page 5 Chili s.page 7 Dairy Queen..page 9 Denny s.page 11 Jack in the Box.page 13 KFC.page 15 McDonald s.page 18 Olive Garden..page 20 Panera Bread..page 22 Pizza Hut..page 24 Red Lobster.page 25 Sonic...page 28 Subway..page 30 Taco Bell page 32 Wendy s.page 34

3 Rank * Ten of the Saltiest Meals in America * Where 1 Red Lobster What (mg of sodium) Admiral s Feast (4,662), Caesar Salad w/ Caesar Dressing (930), Creamy Lobster Topped Mashed Potato (1,110), Cheddar Bay Biscuit (350), Lemonade (54) 2 Chili s Buffalo Chicken Fajitas w/ Tortillas & Honey-Chipotle Ribs (5,150), Mashed 3 Chili s Potatoes w/ Gravy (1,050), Seasonal Vegetables (170), Dr Pepper (70) Tour of Italy (lasagna) (3,830), 1 Breadstick 4 Olive Garden (350), Garden Fresh Salad w/ House Dressing (1,990), Coca Cola (6) Total Sodium Teaspoons of Salt 7,106 mg 3.1 Condiments (6,846), Dr Pepper (70) 6,916 mg 3.0 Chicken Parmigiana (3,380), 1 Breadstick 5 Olive Garden (350), Garden Fresh Salad w/ House Dressing (1,990), Raspberry Lemonade (15) Double Cheeseburger (3,880), Onion Rings 6 Denny s 6,440 mg 2.8 6,176 mg 2.7 5,735 mg 2.7 (980), Tomato Juice (680) 5,540 mg Denny s Spicy Chicken Buffalo Melt (3,870), Rice Pilaf (820), 2% Milk (116) 4,806 mg 2.1 Half Chicken Meal (2,400), Biscuit (530), 8 KFC Macaroni & Cheese (880), Mean Greens (400), Lipton Brisk Green Peach Tea (560) 9 Dairy Queen Spicy Chili Bowl (3,900), Side Salad w/ Fat Free Ranch Dressing (450), Mountain Dew (150) 10 Arby s Large Beef n Cheddar Sandwich (2,309), Large Mozzarella Sticks w/ Marinara Sauce (2,047), Dr Pepper (120) 4,770 mg 2.1 4,500 mg 2.0 4,476 mg 1.9 i

4 * Ten of the Saltiest KIDS Meals in America * Rank Where Red Lobster What Total Teaspoons (mg of sodium) Sodium of Salt (740), Raspberry Lemonade (20) 2,430 mg 1.0 Chicken Fingers (1,320), Biscuit (350), Fries Chili s Country Fried Chicken Crispers (1,600), Rice (660), 1% Milk (125) 2,385mg 1.0 KFC Jack in the Box Popcorn Chicken (850), Macaroni & Cheese 2,005 mg (880), Teddy Grahams (95), 2% Milk (180) 0.9 Chicken Strips Grilled (630), Buffalo Sauce (840), Fries (380), 1% Milk (130) 1,980 mg 0.9 Olive Garden Chicken Fingers (940), Fries (880), Raspberry Lemonade(15) 1,835 mg 0.8 Burger King Chicken Tenders (730), Buffalo Sauce (360), Fries (salted) (590), 1% Milk (130) 1,810 mg 0.8 Sonic Grilled Cheese (1,014), Tator Tots (527), 1% Milk (210) 1,751 mg 0.7 Denny s Taco Bell Arby s Little Dipper Sampler (1,200), Ranch Dressing (189), Goldfish Side (260), Lemonade (38) Bean Burrito (1,240), Cinnamon Twists 1,687 mg 0.7 (200), Mountain Dew Baja Blast (70) 1,510 mg 0.6 Jr. Roast Beef Sandwich (740), Curly Fries (548), 2% Milk (116) 1,404 mg 0.6 ii

5 Introduction E ating less salt is one of the single best ways to prevent high blood pressure, heart attacks, and strokes. Yet, most restaurant meals are loaded with salt. The amount of salt sodium chloride in typical restaurant meals is astonishing. Many popular meals in fast-food or table-service restaurants have well over a day s worth of the recommended sodium limits for both adults and children and sometimes two or three days worth. According to the government s 2005 Dietary Guidelines for Americans, people with hypertension, people who are middle-aged or older, and African Americans should consume no more 1,500 mg of sodium daily. 1 Those groups account for about 70 percent of 1 U.S. Department of Health and Human Services, U.S. Department of Agriculture. Dietary Guidelines for Americans cument/html/chapter8.htm the population, according to the Centers for Disease Control and Prevention (CDC). 2 Other adults should consume no more than 2,300 mg of sodium (about a teaspoon of salt). The Institute of Medicine (IOM), a unit of the National Academy of Sciences, recommends that children aged 4-8 consume no more than 1,200 mg a day. Children 9 to 18 should consume no more than 1,500 mg a day. 3 Unfortunately, Americans consume about twice the recommended levels of sodium. The National Health and Nutrition Examination Survey (NHANES) found that average daily consumption was about 3,400 mg for adults. 4 Actual daily consumption is 2 Centers for Disease Control and Prevention, MMWR, March 27, 2009, Vol. 58, No Institute of Medicine. Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate. Washington DC: National Academy Press, p 307, NHANES, What We Eat in America. probably closer to 4,000 mg, 5 since NHANES estimates omit salt added at the table or in cooking, and the NHANES respondents often underestimate their actual consumption. The extraordinary importance of lowering sodium consumption was highlighted in a 2004 article coauthored by Claude Lenfant, then the Director of the National Heart, Lung and Blood Institute (NHLBI), and two colleagues. They estimated that reducing the sodium content of packaged and restaurant foods by 50 percent would prevent at least 150,000 deaths annually, mostly due to cardiovascular disease. 6 Consuming less sodium 5 Zhou BF, Stamler J, Dennis B, et al. Nutrient intakes of middle-aged men and women in China, Japan, United Kingdom, and United States in the late 1990s: The INTERMAP study. J Hum Hypertens. 2003;17: Kumanyika SK, Cook NR, Cutler JA, et al. Sodium reduction for hypertension prevention in overweight adults: further results from the Trials of Hypertension Prevention Phase II. J Hum Hypertens. 2005;19: Havas, S, Rocella EJ, Lenfant C. Reducing the public health burden from elevated blood pressure levels in the United States by lowering iii

6 would not only save thousands of lives, but also billions of dollars in medical costs. A preliminary RAND Corp. study estimates that reducing sodium consumption from 3,400 mg to 2,300 mg per day would reduce direct medical costs by $18 billion per year. A further reduction to 1,500 mg per day would reduce medical costs by $26 billion per year. 7 Contrary to popular belief, most of the sodium we consume is not from the salt shaker. Three-quarters of all sodium comes from the salt and other sodiumcontaining additives (MSG, baking powder, sodium phosphate, and others) in processed and restaurant foods. This report summarizes restaurant industry data on the sodium levels in adult and children s meals at popular chain restaurants. The graphs compare the intake of dietary sodium. Am J Pub Health. 2004; 94: Palar, K, Sturm, R. The Benefits of Reducing Sodium Consumption in the US Adult Population. Rand Health, Academy Health Annual Research Meeting Presentation, June 9, sodium contents of typical meals to the sodium limits recommended by the Dietary Guidelines for Americans and Institute of Medicine. Methods We ascertained the sodium levels of adult and children s meals from the 25 largest U.S. chain restaurants (by revenue in 2008). 8 Of those chains, five did not have special children s menus: Starbucks, Domino s Pizza, Dunkin Donuts, 7-Eleven, and Pizza Hut. However, we included Pizza Hut in our evaluation because it is the sixthlargest chain and because pizza is popular with kids. Of the remaining 20 restaurants (21 including Pizza Hut), 17 provided sodium information. Applebee s, Outback Steakhouse, T.G.I. Friday s, and IHOP did not provide nutrition information. We considered the basic format of a meal to be one entrée, one side dish, 8 Reed Elsevier Inc R&I Top 400 Chain Restaurants. and one beverage, unless the menu indicated otherwise. For example, a specific entrée may come with two sides, or it may come with one side from a list of options. When an entrée came with two sides, we avoided choosing dishes that were similar, such as potatoes and pasta. The sodium totals used in this report are not necessarily the very highest or lowest possibilities at these restaurants. The meals included are merely representative meal combinations created from the restaurants menu options. All nutrition information used in this report was gathered from the nutrition guides and calculators posted on the restaurants websites or from phone calls to the companies. Results For each chain (excluding Pizza Hut) we chose four kids meals, including three high in sodium and one lowersodium meal. (Arby s and Taco Bell iv

7 only have two kids meals on their menus.) Of the 60 kids meals we evaluated, 31 meals had 1,200 mg of sodium or more a whole day s worth of sodium for children aged We identified five high-sodium adult meals at each chain restaurant, and one lower in sodium. Almost all of the meals we evaluated had much more sodium than recommended. Of the 102 adult meals, 85 had over 1,500 mg of sodium, the recommended daily limit for the majority of Americans; 49 meals had over 2 days worth of sodium (3,000 mg of sodium or more); 17 meals had over 3 days worth of sodium (4,500 mg of sodium or more); and Chili s, Denny s, Olive Garden and Red Lobster all offered at least one meal that included over four days worth of sodium (6,000 mg of sodium or more). Toxic Offerings? Many entrées, without any sides or a drink, exceeded a day s worth of 9 Adequate Intake for Children. Institute of Medicine, sodium and in some instances two days worth. Examples include Olive Garden s Chicken Parmigiana (3,380 mg), Meaty P Zone Pizza (3,680 mg) at Pizza Hut, and Chili s Honey Chipotle Ribs (5,150 mg). Salty side dishes and even some drinks boost sodium into the stratosphere. A combo meal at Denny s that included a double cheeseburger, onion rings, and tomato juice contained 5,540 mg of sodium. (Replacing the salty tomato juice with a soda would reduce sodium by 680 mg.) Chili s Buffalo Chicken Fajitas with a soda had 6,916 mg. That s about three times as much sodium as healthy, young, adults should consume in one day. The highest-sodium meal we identified was Red Lobster s Admiral s Feast, served with Caesar Salad, a Creamy Lobster Topped Mashed Potato, and a lemonade (7,106 mg). For an African- American, a person over 40, or a person with high blood pressure, that is more sodium than should be consumed in four-and-a-half days! Red Lobster also made the highestsodium children s meal: Chicken Fingers, French fries, a biscuit, and lemonade had 2,430 mg of sodium, twice as much as a young child should consume in an entire day. At Olive Garden, a kid s meal that included Chicken Fingers, French fries, and a Raspberry Lemonade had 1,835 mg of sodium. A high-salt diet in childhood may increase blood pressure and train kids taste buds to want salty foods for their entire life. 10 Also, some restaurants offer complimentary items that can easily increase sodium intake. For example, Red Lobster s Cheddar Bay biscuit had 350 mg of sodium, and one breadstick at Olive Garden also contained 350 mg. Each McDonald s ketchup packet contained 110 mg of sodium. Better Choices A few restaurants offered lower-sodium options. Subway had the lowestsodium adult meal with its Veggie 10 He FJ, MacGregor GA. Importance of salt in determining blood pressure in children. Hypertension. 2006; 48:861. v

8 Delite 6 sandwich, Apple Slices, and a Coke (500 mg). Panera s Full Classic Café Salad with dressing, an apple, and large orange juice had 511 mg of sodium. Chili s Guiltless Grilled Salmon with Marinated Portobello Mushrooms and a Sprite had 534 mg. At Panera, a kid s Peanut Butter and Jelly sandwich with a yogurt and small orange juice had 450 mg of sodium. KFC s kids combo meal consisting of a Grilled Drumstick, corn on the cob, apple Juice, and Teddy Grahams had 305 mg of sodium. The average consumer, however, cannot determine the sodium content of foods or meals, because the sodium levels are typically not listed on menu boards or menus. Some Good News Several restaurants have made commitments to lower sodium in their foods. For example, Burger King has said it would reduce sodium in its kids meals. Also, YUM! Brands Inc., the parent company of KFC, Pizza Hut, and Taco Bell, said it would try to reduce sodium. 11 Several restaurants deserve praise for offering real fruits and vegetables: Wendy s Mandarin Orange slices, Subway s Apple Slices, Sonic s Banana, Panera s Apple, KFC s Corn on the Cob, Jack in the Box s and Chick-fil-A s Fruit Cups, and Denny s Grapes. The United Kingdom Is Doing It Why Can t We? In contrast to the U.S. Government, the United Kingdom s Food Standards Agency has made salt reduction a top priority and is both making consumers more aware of the health threat posed by excessive salt intake and pressuring the food and restaurant industries to gradually lower sodium levels to specified targets. An interim survey 11 Elan, Elissa. No grain of salt: fast feeders say sodium reduction a top priority. Nation s Restaurant News. =%20sodium%20reduction&id= (accessed April 2008). found a 9 percent reduction in sodium intake. The government s goal is a one-third reduction in five years. Consider McDonald s Chicken McNuggets, French Fries, Big Mac, and Sausage and Egg McMuffin. On average, those products in the U.S. contain 57 percent more sodium (per 100 grams) than in the U.K. Salt reduction should be a top health priority of our government also. Recommendations Restaurants, as rapidly as possible, should decrease sodium levels in their foods and offer a variety of adult meals that contain under 800 mg of sodium and kids meals that contain under 500 mg. vi

9 Governments should require chain restaurants to disclose on menus (and in other point-ofpurchase formats) the sodium content of all their foods and meals. Health officials should pressure food manufacturers and restaurants to cut sodium levels to specified targets in the coming years. The Food and Drug Administration and the U.S. Department of Agricultures should set limits on the sodium content of at least those foods that provide the most sodium to the average diet. Consumers should read Nutrition Facts labels on packaged foods and information at restaurants or on restaurants Internet sites, and then choose lower-sodium foods. vii

10 Arby's Meals Grams Calories Sodium (mg) Large Beef 'n Cheddar Sandwich ,309 Mozzarella Sticks, large w/ Marinara Sauce ,047 Dr Pepper, large Total 1,541 1,597 4,476 French Dip & Swiss Sub ,169 Cheddar Fries, medium w/ Cheese Sauce ,889 Pepsi, large Total 1,433 1,430 4,133 Large Roast Beef Sandwich ,869 Cheddar Fries, medium w/ Cheese Sauce ,889 Dr Pepper, large Total 1,418 1,504 3,878 Cordon Bleu Sandwich, Crispy ,936 Curly Fries, large ,413 Mountain Dew, large Total 1,336 1,511 3,454 Classic Italian Toasted Sub ,831 Curly Fries, large ,413 Diet Pepsi, large Total 1,376 1,200 3,319 Swiss Melt Potato Cakes, Peach Iced Fruit Tea Total (Low Sodium Option) ,310 4,476 mg 4,133 mg 3,878 mg 3,454 mg 3,319 mg 1,310 mg Arby's Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) Page 1

11 Jr. Roast Beef Sandwich Curly Fries, small White Milk, 2% Total ,404 Popcorn Chicken Apple Sauce Capri Sun Fruit Juice Total (Low Sodium Option) *Arby's only has 2 Kids Meals options. Arby's Kids Meals 1,404 mg 738 mg Arby's Kids Meal Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) Page 2

12 Burger King Loaded Steakhouse Burger ,190 Cheesy Tots Potatoes, medium Oreo Sundae Shake, medium 616 1, Total 1,070 2,310 3,940 Steakhouse Burger ,950 Onion Rings, large Chocolate Milkshake, large Total 1,735 2,450 3,510 Tendercrisp Chicken Sandwich ,640 French Fries, Salted, large Sprite, large Total 1,760 1,770 2,715 3,940 mg 3,510 mg 2,715 mg Triple Whopper w/ Cheese 480 1,250 1,600 French Fries Salted, medium Mocha BK Joe Iced Coffee n/a Total n/a 2,090 2,710 2,710 mg BK Quad Stacker 311 1,010 1,800 Cheesy Tots Potatoes, small Hershey's Chocolate Milk Total 612 1,410 2,570 Hamburger Apple Fries w/ Caramel Sauce Cherry Icee, medium Total (Low Sodium Option) mg 2,570 mg Burger King Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) Page 3

13 Menut Items Grams Calories Sodium mg Chicken Tenders (6 pc) Buffalo Dipping Sauce Fries, Salted, small Hershey s 1% Milk Total ,810,,,, Burger King Kids Meals 1,810 mg Double Cheeseburger ,020 Fries, Salted, small Sprite, small Total 921 1,060 1,655 1,655 mg Cheeseburger Fries, Salted, small Hershey s Chocolate Milk Total ,500 Macaroni and Cheese Apple Fries w/ Caramel Sauce Minute Maid Apple Juice Total (Low Sodium Option) ,500 mg 390 mg Burger King Kids Meal Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) Note: Burger King is developing 2 Kids Meals options with 600mg of Sodium or less to be made available by September Page 4

14 Chick-fil-A Chicken Caesar Cool Wrap ,810 Hearty Breast of Chicken Soup, small ,060 Coca Cola, large Total 1, ,905 Chargrilled Chicken Club Sandwich ,650 Hearty Breast of Chicken Soup, small ,060 Dr Pepper, large Total 1, ,800 2,905 mg 2,800 mg Chargrilled Chicken Cool Wrap ,510 Cole Slaw, large Iced Tea, Sweetened, large Total 1,070 1,000 1,805 Chicken Strips, ,390 Cole Slaw, small Milk Total ,760 1,805 mg 1,760 mg Chicken Sandwich ,370 Waffle Potato Fries, large Dr Pepper, medium Total 741 1,030 1,550 Southwest Chargrilled Salad w/ tortilla strips Fruit Cup, large Orange Juice Total (Low Sodium Option) ,550 mg 750 mg Chick-fil-A Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) Page 5

15 Chick-fil-A Kids Meals Chicken Strips (2) Buffalo Dipping Sauce Waffle Fries Chocolate Milk Total ,390 1,390 mg Chicken Nuggets (6) Buffalo Dipping Sauce Waffle Fries Dr Pepper Total ,170 Chicken Nuggets (6) Polynesian Dipping Sauce Waffle Fries Chocolate Milk Total ,120 Chicken Nuggets (4) Honey Roasted BBQ Dipping Sauce Fruit Cup, small Lemonade, small Total (Low Sodium Option) ,170 mg 1,120 mg 495 mg Chick-fil-A Kids Meal Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) Page 6

16 Chili's Buffalo Chicken Fajitas n/a 1,782 6,846 Dr Pepper Total n/a 1,982 6,916 Honey-Chipotle Ribs* n/a 1,320 5,150 Mashed Potatoes w/ Gravy n/a 270 1,050 Seasonal Vegetables n/a Dr Pepper Total n/a 1,860 6,440 Fajita Quesadillas Beef w/rice & Beans n/a 2,240 6,390 Sprite Total n/a 2,434 6,434 Crispy Honey Chipotle Chicken Crispers* n/a 1,990 4,780 Seasonal Vegetables n/a Loaded Mashed Potatoes n/a Dr Pepper Total n/a 2,650 5,960 Honey BBQ Ribs* n/a 1,120 4,780 Homestyle Fries n/a Seasonal Vegetables n/a Coke Total n/a 1,827 5,256 6,916 mg 6,440 mg 6,434 mg 5,960 mg 5,256 mg Chili's Meal Guiltless Grilled Salmon n/a Marinated Portobello Mushroom n/a Sprite Total (Low Sodium Option) mg Recommended Daily Sodium Limit for Most Adults (1,500 mg) *This entree comes with 2 sides. 0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 **All nutrition information for Chili's beverages is taken from Page 7

17 Chili's Kids Meals Country Fried Chicken Crispers n/a 560 1,600 Rice n/a Milk, 1% Total n/a 930 2,385 2,385 mg Cheese Pizza n/a 550 1,130 Rice n/a Chocolate Milk, 1% Total n/a 950 1,980 1,980 mg Little Chicken Crispers n/a 600 1,300 Homestyle Fries n/a Chocolate Milk, 1% Total n/a 1,020 1,630 Little Mouth Burger n/a Mandarin Oranges n/a Apple Juice Box Total (Low Sodium Option) n/a ,630 mg 436 mg Chili's Kids Meal Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) Page 8

18 Dairy Queen Spicy Chili Bowl ,900 Side Salad w/ Fat Free Ranch Dressing Mountain Dew, large Total 1,501 1,150 4,500 Chicken Strip Basket (6) w/ Country Gravy* 517 1,640 3,690 Dr Pepper, large Total 1,477 1,960 3,805 4,500 mg 3,805 mg Popcorn Shrimp Basket* ,630 Sierra Mist, medium Total 1,043 1,200 3,685 All Beef Chili Cheese Foot-Long Hot Dog ,050 Fries, large ,040 Mug Root Beer, large Total 1,432 1,660 3,220 1/2 lb. Flame Thrower Grill Burger 337 1,060 1,980 Fries, large ,040 Pepsi, large Total 1,464 1,880 3,100 Grilled Chicken Wrap Side Salad w/ Fat Free French Dressing Orange Juice Total (Low Sodium Option) mg 3,685 mg 3,220 mg 3,100 mg Dairy Queen Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) *Nutrition Total for Adult Basket Meals Includes Entrée and Side Item. Page 9

19 Dairy Queen Kids Meals Iron Grilled Cheese w/ French Fries* ,410 Whole Milk Total ,510 1,510 mg Cheeseburger w/ French Fries* ,290 Mug Root Beer, small Total ,355 1,355 mg All Beef Hot Dog w/ French Fries* ,270 Pepsi, small Total ,310 1,310 mg Dairy Queen Kids Meal Hamburger w/ Apple Sauce* Orange Juice Total (Low Sodium Option) mg Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) *Nutrition Total for Kid's Meals Includes Entrée and Side Item. Page 10

20 Denny's Double Cheeseburger 560 1,540 3,880 Onion Rings Tomato Juice Total 980 2,116 5,540 5,540 mg Spicy Buffalo Chicken Melt ,870 Vegetable Rice Pilaf % milk Total 812 1,281 4,806 4,806 mg Country Fried Steak* 367 1,000 2,580 Coleslaw Onion Rings Coca Cola Total 1,095 1,978 4,146 Chicken Ranch Melt ,800 Vegetable Rice Pilaf Ruby Red Grapefruit Juice Total 756 1,284 3,661 4,146 mg 3,661 mg Meatloaf Dinner* ,450 Country Fried Potatoes Coca Cola Total 900 1,468 3,076 3,076 mg Grilled Chicken Salad Deluxe Apple Sauce, Musselman's Cranberry Juice Total (Low Sodium Option) 868 1, mg Denny's Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) *This entrée comes with 2 sides. Page 11

21 Denny's Kids Meals Little Dipper Sampler (w/o Marinara Sauce) ,200 Ranch Dressing Goldfish Galaxy Side Lemonade Total ,687 1,687 mg Chicken Nuggets w/ BBQ sauce Mashed Potato w/ Gravy % Milk Total ,596 1,596 mg Macaroni & Cheese Deep Space French Fries Apple Juice Total ,109 1,109 mg Flying Saucer Pizza Anti-Gravity Grapes Cranberry Juice Total (Low Sodium Option) mg Denny's Kids Meal Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) Page 12

22 Jack in the Box Sirloin Swiss, Grilled Onions Burger, Bacon ,230 Seasoned Curly Fries, large ,260 Pomegranate Berry Fruit Smoothie Total 1,234 1,990 3,870 3,870 mg Sirloin Cheeseburger w/ Bacon 392 1,010 2,270 Natural Cut Fries, large ,150 Iced Coffee, Original Total 1,293 1,785 3,516 3,516 mg Bacon Ultimate Cheeseburger ,880 Seasoned Curly Fries, large ,260 Chocolate Low Fat Milk Chug Total 709 1,750 3,370 Fish & Chips, large ,894 Natural Cut Fries, medium Dr Pepper, medium Total 1,117 1,786 2,880 3,370 mg 2,880 mg Sirloin Swiss & Grilled Onion Burger ,880 Stuffed Jalapenos (3) Barq's Root Beer, medium Total 1,348 1,444 2,628 2,628 mg Hamburger Fruit Cup Dannon Spring Water Total (Low Sodium Option) mg Jack in the Box Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) Page 13

23 Jack in the Box Kids Meals Chicken Strips Grilled (2) Franks Hot Buffalo Sauce Fries Chocolate Milk, 1% Total ,980 1,980 mg Chicken Strips Crispy (2) Teriyaki Dipping Sauce Fries Dr Pepper, small Total ,590 Hamburger w/ Cheese Fries Chocolate Milk, 1% Total ,340 1,590 mg 1,340 mg Jack in the Box Kids Meal Cheeseburger Sweet & Sour Sauce Applesauce Dannon Spring Water Total (Low Sodium Option) mg Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) Page 14

24 KFC 2 Extra Crispy Thighs ,680 2 Extra Crispy Drumsticks Biscuit Macaroni and Cheese KFC Mean Greens Lipton Brisk Green Peach Tea 1, Total (1/2 Chicken Meal*) 2,453 1,430 4,770 8 Fiery Buffalo Wings ,840 BBQ Baked Beans Biscuit Seasoned Rice Miranda Strawberry large 1, Total (8 Wings Meal*) 2,283 2,040 4,010 Extra Crispy Chicken Breast ,080 Extra Crispy Whole Wing Biscuit BBQ Baked Beans Macaroni Salad Pepsi, medium Total (Breast & Wing Meal*) 1,416 1,600 3,110 Original Strips (3 pc) Biscuit Mashed Potatoes w/ Gravy Macaroni and Cheese A & W Root Beer, large 1, Total (Colonel's Strips Meal*) 2, ,190 4,770 mg 4,010 mg 3,110 mg 3,190 mg KFC Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) *This entree comes with 2 sides. Page 15

25 KFC Continued Extra Crispy Thigh Extra Crispy Drumstick Biscuit Potato Salad KFC Mean Greens Diet Pepsi, large 1, Total (2 pc. Meal*) 2, ,870 2,870 mg 2 Grilled Drumsticks Biscuit Corn on the Cob 3" Three Bean Salad Mott's Apple Juice Total (2 pc. Meal*) (Low Sodium Option) ,110 1,110 mg KFC Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) *This entree comes with 2 sides. Page 16

26 KFC Kids Meals Popcorn Chicken Mac and Cheese Milk 2% Teddy Grahams Total ,005 2,005 mg Crispy Strips (3) Potato Wedges Mott's Apple Juice Teddy Grahams Total ,565 Extra Crispy Drumstick Mac and Cheese Milk 2% Teddy Grahams Total ,515 1,565 mg 1,515 mg KFC Kids Meal Grilled Drumstick Corn on the Cob 3" Mott's Apple Juice Teddy Grahams Total (Low Sodium Option) mg Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) Page 17

27 McDonald's Selects Breast Strips (5pc) ,680 Spicy Buffalo Dipping Sauce Side Salad w/ Balsamic Dressing Powerade Mountain Blast, large Total 1,343 1,010 3,560 Grilled Chicken Ranch BLT ,500 Side Salad w/ Italian Dressing Sprite, large Total 1, ,320 Caesar Salad w/ Grilled Chicken & Dressing ,390 French Fries, large Ketchup Packet (2) Iced Coffee, Hazelnut, large Total 655 1,210 2,045 Bacon Ranch Salad w/ Grilled Chicken ,540 French Fries, large Powerade Mountain Blast, medium Total 1, ,020 3,560 mg 2,320 mg 2,045 mg 2,020 mg Southwest Salad w/ Grilled Chicken ,300 French Fries, medium Diet Coke, large Total 1, ,615 Hamburger Fruit & Walnut Salad & Yogurt Dasani Water Total (Low Sodium Option) ,615 mg 580 mg McDonald's Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) Page 18

28 McDonald's Kids Meals McDouble French Fries, small Milk, 1% Total ,205 1,205 mg Chicken McNuggets BBQ Dipping Sauce French Fries, small Chocolate Milk, 1% Total ,170 Cheeseburger French Fries, small Chocolate Milk, 1% Total ,060 Hamburger Apple Dippers Caramel Sauce Apple Juice Box Total (Low Sodium Option) ,170 mg 1,060 mg 570 mg McDonald's Kids Meal Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) Page 19

29 Olive Garden 1 Breadstick* n/a Tour of Italy (Lasagna) n/a 1,450 3,830 Garden Fresh Salad w/ House Dressing n/a 350 1,990 Coca Cola n/a 99 6 Total n/a 2,049 6,176 1 Breadstick* n/a Chicken Parmigiana n/a 1,090 3,380 Garden Fresh Salad w/ House Dressing n/a 350 1,990 Raspberry Lemonade n/a Total n/a 1,700 5,735 Spaghetti & Italian Sausage n/a 1,270 3,100 Garden Fresh Salad w/ House Dressing n/a 350 1,990 Sprite n/a Total (w/o comp. breadstick) n/a 1,717 5,112 1 Breadstick* n/a Grilled Shrimp Capreses n/a 900 3,490 Chicken & Gnocchi Soup n/a 250 1,180 Dr Pepper n/a Total n/a 1,400 5,055,,,, 6,176 mg 5,735 mg 5,112 mg 5,055 mg 1 Breadstick* n/a Chicken & Shrimp Carbonara n/a 1,440 3,000 Zuppa Toscana n/a Dr Pepper n/a Total n/a 1,860 4,335 1 Breadstick* n/a Herb Grilled Salmon n/a Pasta e Fagioli Soup n/a Fresh Brewed Iced Tea n/a 0 1 Total (Low Sodium Option) n/a 790 1,841 4,335 mg 1,841 mg Olive Garden Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) *Complimentary basket of breadsticks is given to each table. Page 20

30 Olive Garden Kids Meals Chicken Fingers n/a French Fries n/a Raspberry Lemonade n/a Total (w/o breadstick) n/a 840 1,835 1,835 mg 1 Breadstick* n/a Cheese Pizza n/a 470 1,170 2% Milk n/a Total n/a 570 1,650 1,650 mg Macaroni & Cheese n/a 340 1,000 Dr Pepper n/a Total (w/o breadstick) n/a 440 1,035 Spaghetti & Tomato Sauce n/a % Milk n/a Total (w/o breadstick) (Low Sodium Option) n/a ,035 mg 500 mg Olive Garden Kids Meal Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) *Complimentary basket of breadsticks is given to each table. Page 21

31 Panera 1/2 Italian Combo Sandwich on Ciabatta ,530 French Onion & Soup w/ Toppings ,670 Baked Lay's Potato Chips Strawberry Smoothie, large Total 1,128 1,140 3,630 Full Italian Combo Sandwich on Ciabatta 497 1,050 3,050 Baked Lay's Potato Chips Organic Chocolate Milk Total 749 3,410 3,630 mg 3,410 mg 1/2 Bacon Turkey Bravo Sandwich ,460 French Onion Soup w/o Toppings ,560 Classic Lay's Potato Chips Iced Chai Tea Latte Total ,225 Full Smokehouse Turkey on Three Cheese ,640 Classic Lay's Potato Chips Caramel Frozen Drink, grande Total 819 1,530 2,940 Full Chipotle Chicken on Artisan French ,570 Baked Lay's Potato Chips Organic Milk Total 658 1,150 2,890 3,225 mg 2,940 mg 2,890 mg Panera Meal Full Classic Café Salad, Balsamic Dressing Apple Orange Juice, small Total (Low Sodium Option) mg Recommended Daily Sodium Limit for Most Adults (1,500 mg) Page 22

32 Panera Kids Meals Smoked Ham Deli Sandwich ,250 Organic Yogurt Apple Juice Total ,315 1,315 mg Smoked Turkey Sandwich ,160 Apple Organic Milk Total ,280 1,280 mg Grilled Cheese Sandwich Apple Organic Chocolate Milk Total ,060 1,060 mg Panera Kids Meal Peanut Butter & Jelly Sandwich Organic Yogurt Orange Juice, small Total (Low Sodium Option) mg Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) Page 23

33 Pizza Hut Meaty P'Zone Pizza 536 1,480 3,680 1 Breadstick Mountain Dew, large Total 1,479 2,060 4,060 All Natural Pepperoni P'Zone Pizza 470 1,260 3,160 1 Cheese Breadstick Sierra Mist, large Total 1,429 1,840 3,610 2 Large Meat Lover's Pan Pizza Slices ,340 1 Breadstick Mountain Dew, medium Total 999 1,380 2,680 Meat Lovers 6" Personal Pan Pizza ,250 Pepsi, medium Total 1, ,350 4,060 mg 3,610 mg 2,680 mg 2,350 mg 2 Large Supreme Hand Tossed Pizza Slices ,940 Diet Pepsi, medium Total ,040 Veggie Lovers 6" Personal Pan Pizza ,280 Sierra Mist, small Total (Low Sodium Option) ,320 2,040 mg 1,320 mg Pizza Hut Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) *Pizza Hut does not offer any special kids meals. Page 24

34 Red Lobster 1 Cheddar Bay Biscuit* n/a Admiral's Feast** n/a 1,506 4,662 Caesar Salad w/ Caesar Dressing n/a Creamy Lobster Topped Mashed Potato n/a 360 1,110 Minute Maid Light Lemonade n/a 3 54 Total n/a 2,339 7,106 1 Cheddar Bay Biscuit* n/a Seaside Shrimp Trio Entrée** n/a 1,030 3,490 Garden Salad w/ Fat Free Ranch dressing n/a Creamy Lobster Topped Baked Potato n/a 370 1,110 Dr Pepper n/a Total n/a 1,680 5,080 1 Cheddar Bay Biscuit* n/a North Pacific King Crab Legs** n/a 390 3,570 Garden Salad w/ French Dressing n/a Baked Potato w/ Butter, Sour Cream n/a Coke n/a Total n/a 1,015 5,000 1 Cheddar Bay Biscuit* n/a Fried Oysters n/a 590 1,100 Fried Crawfish n/a 755 1,395 Garlic Shrimp Scampi n/a 195 1,035 Caesar Salad w/ Caesar Dressing n/a Sprite n/a Total (Create Your Own Feast: pick 3 options*) n/a 1,928 4,507 7,106 mg 5,080 mg 5,000 mg 4,507 mg Red Lobster Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) *Complimentary basket of Cheddar Bay Biscuits is given to each table; Kids Meals come with a Cheddar Bay Biscuit. **This entree comes with 2 sides. 0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 Page 25

35 Red Lobster Continued Fried Shrimp n/a 190 1,010 Coconut Shrimp Bites n/a Shrimp Scampi n/a Coleslaw n/a Fries n/a Cheddar Bay Biscuit* n/a Minute Maid Light Lemonade n/a Total (shrimp your way: pick 3 options*) n/a 1,468 3,924 Rock Lobster Tail** n/a Coleslaw n/a Fresh Broccoli n/a Cheddar Bay Biscuit* n/a Boston Iced Tea n/a Total (Low Sodium Option) n/a 535 1,110 3,924 mg 1,110 mg *Complimentary basket of Cheddar Bay Biscuits is given to each table; Kids Meals come with a Cheddar Bay Biscuit. **This entree comes with 2 sides. Red Lobster Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) Page 26

36 Red Lobster Kids Meals 1 Cheddar Bay Biscuit* n/a Chicken Fingers n/a 414 1,320 Fries n/a Raspberry Lemonade n/a Total n/a 922 2,430 2,430 mg 1 Cheddar Bay Biscuit* n/a Popcorn Shrimp n/a Baked Potato w/ Butter, Sour Cream n/a Milk n/a Total n/a 596 1,708 1,708 mg 1 Cheddar Bay Biscuit* n/a Snow Crab Legs n/a Wild Rice Pilaf n/a Berry Strawberry Banana Smoothie n/a Total n/a 600 1,685 1 Cheddar Bay Biscuit* n/a Broiled Fish n/a Salad w/ Honey Mustard Dressing n/a Milk n/a Total (Low Sodium Option) n/a ,685mg 513 mg Red Lobster Kids Meal Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) *Complimentary basket of Cheddar Bay Biscuits is given to each table; Kids Meals come with a Cheddar Bay Biscuit. Page 27

37 Sonic Jumbo Popcorn Chicken ,890 Tater Tots, large Powerade Mountain Blast, large Total 964 1,105 2,830 Extra Long Chili Cheese Coney ,856 Tater Tots, medium Powerade Mtn. Blast Slush, large Total 1,219 1,357 2,505 Grilled Chicken Wrap ,444 Tater Tots, large Strawberry Banana Smoothie, large Total 976 1,617 2,354 Chicken Club Toaster Sandwich ,742 French Fries, medium Lime Fruit Slush, medium Total 926 1,293 2,142 Bacon Cheeseburger Toaster Sandwich ,444 French Fries, large Powerade Mountain Blast, medium Total 902 1,336 2,047 Corn Dog French Fries, medium Minute Maid Light Lemonade, small Total (Low Sodium Option) ,830 mg 2,505 mg 2,354 mg 2,142 mg 2,047 mg 889 mg Sonic Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) Page 28

38 Sonic Kids Meals Grilled Cheese ,014 Tater Tots, medium Milk, 1% Total ,751 1,751 mg Jr. Cheeseburger French Fries, medium Barq's Root Beer 1, Total 1,395 1,186 1,366 Jr. Burger Tater Tots, medium Milk, 1% Total ,348 Chicken strips (2) Fresh Banana Minute Maid Apple Juice Box Total (Low Sodium Option) ,366 mg 1,368 mg 488 mg Sonic Kids Meal Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) Page 29

39 Subway Double Italian BMT Sub ,850 Doritos Diablo Sprite Total ,190 Footlong Turkey Breast & Ham Sandwich ,420 Doritos, Diablo Sprite Total ,760 Footlong Ham Sandwich ,520 Lay's Classic Potato Chips Diet Coke Total ,715 Double Subway Melt Sub ,500 Lay's Classic Potato Chips Sprite Total ,710 Double Meatball Marinara Sub ,480 Lay's Classic Potato Chips Diet Coke Total 1,056 1,011 2,675 Veggie Delite 6" Sandwich Apple Slices Coke Total (Low Sodium Option) ,190 mg 2,760 mg 2,715 mg 2,710 mg 2,675 mg 500 mg Subway Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) Note: All nutrition information for Chili's beverages is taken from Page 30

40 Subway Kids Meals Ham Mini Sub Dannon Strawberry Yogurt Milk, 1% Total ,015 1,015 mg Turkey Breast Mini Sub Dannon Strawberry Yogurt Milk, 1% Total mg Ham Mini Sub Raisins Minute Maid Apple Juice Total Roast Beef Mini Sub Apple Slices Minute Maid Apple Juice Total (Low Sodium Option) mg 620 mg Subway Kids Meal Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) Note: All nutrition information for Chili's beverages is taken from Page 31

41 Grilled Stuft Burrito Chicken ,190 Cheesy Fiesta Potatoes Tropicana Pink Lemonade, large 1, Total 1,636 1,435 3,570 Southwest Steak Border Bowl ,170 Nachos Supreme Tropicana Pink Lemonade, medium Total 1,190 1,460 3,410 Grilled Stuft Burrito Steak ,960 Pintos 'n Cheese Mountain Dew, large 1, Total 1,629 1,450 2,870 Chicken Fiesta Taco Salad w/ Salsa and Cream Sour Taco Bell ,070 Nachos Dr Pepper, medium Total 1,625 1,530 2,730 Chicken Border Bowl w/ Zesty Dressing ,850 Cheese Roll-up Diet Pepsi, medium Total 1, ,440 Crunchy Taco Cinnamon Twists Mango Strawberry Frutista Freeze Total (Low Sodium Option) ,570 mg 3,410 mg 2,870 mg 2,730 mg 2,440 mg 560 mg Taco Bell Meal Recommended Daily Sodium Limit for Most Adults (1,500 mg) Page 32

42 Taco Bell Kids Meals Bean Burrito ,240 Cinnamon Twists Mountain Dew Baja Blast, small Total ,510 1,510 mg 2 Tacos Cinnamon Twists Tropicana Pink Lemonade, small Total (Low Sodium Option) ,110 1,110 mg Taco Bell Kids Meal Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) *Taco Bell only has 2 Kids Meals options. Page 33

43 Wendy's Triple Cheeseburger w/ Everything & Cheese ,010 Small Chili Chocolate Fudge Frosty Shake, Large Total 1,202 1,690 3,210 Southwest Taco Salad, Chipotle Dressing ,565 Small Chili Barq's Root Beer, large Total 1,428 1,135 2,455 Baconator ,880 Caesar Side Salad w/ Caesar Dressing & Croutons Sprite, medium Total 1,095 1,290 2,420 Chicken BLT Salad ,735 French Fries, large Dr Pepper, large Total 1,266 1,590 2,275 Double Cheeseburger w/ Everything ,440 French Fries, large Vanilla Frosty, medium Total 880 1,660 2,160 3,415 mg 2,660 mg 2,420 mg 2,275 mg 2,160 mg Wendy's Meal Crispy Chicken Sandwich 142g Mandarin Orange Cup Dasani Water Total mg Recommended Daily Sodium Limit for Most Adults (1,500 mg) Page 34

44 Wendy's Kids Combos Cheeseburger French Fries Low Fat Chocolate Milk Total ,030 1,030 mg Cheeseburger French Fries Jr. Chocolate Frosty Total Chicken Nuggets, 4 pc Honey Mustard Dipping Sauce French Fries Low Fat Milk Total Hamburger Mandarin Orange Cup Strawberry Fanta Total mg 940 mg 505 mg Wendy's Kids Meal Recommended Daily Sodium Limit for Children 4 to 8 Years Old (1,200 mg) Page 35